Electrical and Computer Engineering Department, University of California, Los Angeles, CA, USA.
Bioengineering Department, University of California, Los Angeles, CA, USA.
Nat Commun. 2021 Aug 12;12(1):4884. doi: 10.1038/s41467-021-25221-2.
Pathology is practiced by visual inspection of histochemically stained tissue slides. While the hematoxylin and eosin (H&E) stain is most commonly used, special stains can provide additional contrast to different tissue components. Here, we demonstrate the utility of supervised learning-based computational stain transformation from H&E to special stains (Masson's Trichrome, periodic acid-Schiff and Jones silver stain) using kidney needle core biopsy tissue sections. Based on the evaluation by three renal pathologists, followed by adjudication by a fourth pathologist, we show that the generation of virtual special stains from existing H&E images improves the diagnosis of several non-neoplastic kidney diseases, sampled from 58 unique subjects (P = 0.0095). A second study found that the quality of the computationally generated special stains was statistically equivalent to those which were histochemically stained. This stain-to-stain transformation framework can improve preliminary diagnoses when additional special stains are needed, also providing significant savings in time and cost.
病理学是通过观察组织化学染色的切片来进行的。虽然苏木精和伊红(H&E)染色是最常用的,但特殊染色可以为不同的组织成分提供额外的对比。在这里,我们展示了基于监督学习的计算染色转换方法,即从 H&E 转换为特殊染色(Masson 三色染色、过碘酸雪夫染色和 Jones 银染色),使用的是肾穿刺活检组织切片。基于三位肾脏病理学家的评估,再由第四位病理学家裁决,我们表明,从 58 个独特的研究对象中采集的现有 H&E 图像生成虚拟特殊染色可以改善几种非肿瘤性肾脏疾病的诊断(P = 0.0095)。第二项研究发现,计算生成的特殊染色的质量在统计学上与经过组织化学染色的特殊染色相当。这种从一种染色到另一种染色的转换框架可以在需要额外的特殊染色时改善初步诊断,同时还可以节省大量的时间和成本。